Mitral valve repair for significant mitral insufficiency.

Abstract:

:There has been skepticism since the early days of open heart surgery that good long-term or even short-term results were possible with repair of pure mitral insufficiency. The authors report 145 patients in whom a markedly insufficient mitral valve was repaired 6 months to 17 years previously and another 55 patients in whom repair of the insufficient mitral valve was performed along with myocardial revascularization from 6 months to 7 years previously. Comparative data with other published work reveals superior results with repair than with replacement with Starr-Edwards and Hancock glutaraldehyde-treated porcine valves and with far less emboli. Conservatism is urged in operating upon patients with mitral insufficiency. Repair of the valve rather than replacement is stressed for those patients requiring surgery.

journal_name

Am Heart J

journal_title

American heart journal

authors

Kay JH,Zubiate P,Mendez MA,Vanstrom N,Yokoyama T

doi

10.1016/0002-8703(78)90094-7

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

253-62

issue

2

eissn

0002-8703

issn

1097-6744

pii

0002-8703(78)90094-7

journal_volume

96

pub_type

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